| NPI | 1548447717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 42361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 81644) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2021-09-23 |